ANNE HERZOG (NPI# 1083743470) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083743470 |
| Entity Type | Individual |
| Full Name | ANNE HERZOG |
| Credential | NP |
| Practice Address |
175 Forest St Bentley College Student Health Services- Rhodes Hall Waltham MA 02452-4713 |
| Mailing Address |
53 Pembroke St Medford MA 02155-4835 |
| Practice Telephone | 7818912222 |
| Mailing Telephone | 7818740627 |
| Enumeration Date | 2007-03-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
223197 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
175 FOREST ST BENTLEY COLLEGE STUDENT HEALTH SERVICES- RHODES HALL |
| City | WALTHAM |
| State | MA |
| Zip Code | 02452-4713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588704522 | Kimberly Allen Kerrigan | Nurse Practitioner | 175 Forest St, Waltham, MA 02452-4713 | 2007-02-07 |
| 1588106868 | Christina Hollis | Specialist/Technologist | 175 Forest St, Waltham, MA 02452-4713 | 2016-11-17 |
| 1336564806 | Susannah Hanson Flaherty | Psychologist | 175 Forest St, Michael A. Callahan Building, 2nd Floor, Waltham, MA 02452-4713 | 2014-02-20 |
| 1093956690 | Stephanie Jeanne Kendall | Psychologist | 175 Forest St, Lacava 166, Waltham, MA 02452-4713 | 2009-03-12 |
| 1447408737 | Mary E Hackel | Nurse Practitioner | 175 Forest St, Waltham, MA 02452-4713 | 2008-08-29 |
| 1205036902 | Heatha Cushman Schena | Nurse Practitioner | 175 Forest St, Rhodes Hall, Waltham, MA 02452-4713 | 2007-07-20 |
| 1629282041 | Veronica Ann Mcdonough | Nurse Practitioner | 175 Forest St, Rhodes Hall-student Health Services, Waltham, MA 02452-4713 | 2007-05-09 |
| 1770609463 | Martha Claire Reuman Pieper | Nurse Practitioner | 175 Forest St, Student Health Service, Bentley College, Waltham, MA 02452-4713 | 2007-03-22 |
| 1295863298 | Margaret Elizabeth Fitzgerald | Nurse Practitioner | 175 Forest St, Waltham, MA 02452-4705 | 2007-03-01 |
| 1962539742 | Deborah Ruth Forman | Nurse Practitioner | 175 Forest St, Waltham, MA 02452-4713 | 2007-02-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346894896 | Nsea Macipa LLC | Ophthalmology | 135 Beaver Street Ste 309, Waltham, MA 02452 | 2019-08-01 |
| 1750879383 | Rosemary Klein | Psychologist | Waltham Court Clinic, 38 Linden St., Waltham, MA 02452 | 2018-04-30 |
| 1497256374 | Chithra Susan Kuriakose | Nurse Practitioner | Waltham Medical Group, 6 Lexington St., 2nd Floor, Waltham, MA 02452 | 2018-02-26 |
| 1861883001 | Melanie H Deveikas | Physical Therapist | 425 Waverley Oaks Rd, Waltham, MA 02452 | 2015-02-10 |
| 1770992059 | Hope Elisabeth Forbes | Psychologist | 175 Forest St., Bentley University Counseling Center, Waltham, MA 02452 | 2014-08-12 |
| 1326462557 | Ann M Fletcher | Social Worker | 100 Church St., Waltham, MA 02452 | 2014-02-07 |
| 1801239397 | Rainbow Adhc of Waltham | Clinic/Center | 411 Waverly Oak Rd # 2, Suite 214, Waltham, MA 02452 | 2013-04-15 |
| 1356689335 | Jessica M Liberty | Physical Therapist | 425 Waverley Oaks Rd., Waltham, MA 02452 | 2013-01-25 |
| 1386946960 | Janyce M Gately | Dietitian, Registered | 425 Waverley Oaks Rd Ste 200, Waltham, MA 02452 | 2010-12-02 |
| 1265618839 | Anita Lynn Hurd | Registered Nurse | 411 Waverely Oaks Road, Building #3, Suite 305, Waltham, MA 02452 | 2008-01-14 |
| Find all providers in zip 02452 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831414416 | Stephen M Bolio | Nurse Practitioner | 72a Charles River Rd, Waltham, MA 02453-2402 | 2010-04-07 |
| 1477744787 | Marygrace Davie Barber | Nurse Practitioner | Bentley College, 175 Forest St, Waltham, MA 02452-4705 | 2007-08-05 |
| 1548327638 | Kerry Lynn Kilroy | Nurse Practitioner | 950 Winter St Ste 3800, Waltham, MA 02451-1487 | 2007-01-02 |
| 1306812086 | Maryellen Sullivan | Nurse Practitioner | 950 Winter Street, Waltham, MA 02451 | 2006-02-23 |
| 1144695867 | Janice Allen | Nurse Practitioner | 870 Winter St, Waltham, MA 02451-1449 | 2015-12-07 |
| 1962870220 | Elizabeth S Duffy | Nurse Practitioner | 950 Winter St, 4th Floor, Waltham, MA 02451-1424 | 2015-09-03 |
| 1760866065 | Partners Home Care Inc | Nurse Practitioner | 281 Winter St, Suite 240, Waltham, MA 02451-8740 | 2015-07-16 |
| 1457743064 | Leslie Jane Cadigan | Nurse Practitioner | 415 South St # Ms 034, Waltham, MA 02453-2728 | 2015-02-19 |
| 1669862736 | Catherine Camacho | Nurse Practitioner | 950 Winter St, 3800, Waltham, MA 02451-1424 | 2015-01-28 |
| 1093141798 | Denise Christine Kelley | Nurse Practitioner | 950 Winter St, Suite 2200/3800, Waltham, MA 02451-1227 | 2013-09-25 |
| Find all providers in WALTHAM | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.